License holder summary

DOMINIQUE NICOLE MONTAGUE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DOMINIQUE NICOLE MONTAGUE is Roslyn PA 19001. This licensed professional license is not current. The license was granted 06/28/2011 and expired on 12/31/2012.

Pennsylvania

Department of State

DOMINIQUE NICOLE MONTAGUE
Medical Physician Assistant
License number
MA054983
Date granted
06/28/2011
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Expired
Address
Roslyn PA 19001
palicensing.org
ID 16639884
LAST UPDATED 2024-04-05 18:24:20 UTC

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